| NPI | 1063870145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000003981) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 10944) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2017-11-02 |